Openai/6941590e-e2c4-800d-bf69-cc314d7bb07d

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User: In NY state if a child has begun receiving SSI, how do I get information on their medical insurance

In NY state if a child has begun receiving SSI, how do I get information on their medical insurance

Assistant: Here’s how you can get information about a child’s medical insurance in New York State once they begin receiving SSI Su…

Here’s how you can get information about a child’s medical insurance in New York State once they begin receiving SSI (Supplemental Security Income):

🧾 1. Understand What Insurance They Likely Have

Automatic Medicaid Eligibility

• In New York State, children who receive SSI are generally automatically eligible for Medicaid — this means they should have health coverage through the state’s Medicaid program once SSI is awarded. Social Security

📋 2. Confirm Their Medicaid Coverage

Check the SSI Award Letter

• The child’s SSI award letter (from the Social Security Administration) is an important document. It often triggers the automatic Medicaid enrollment process and can be used when verifying coverage. OPWDD

Contact Your Local Medicaid Office

You (or the child’s representative) can call or visit your county/local Department of Social Services (LDSS) or Medicaid office to:

• Verify that the Medicaid case is open
• Find the child’s Medicaid ID number
• Determine which managed care plan they are assigned to (if applicable)
• Ask about covered benefits and provider networks

In NY this is usually done through:

• Local Department of Social Services
• Or via NY State of Health (the state’s health insurance marketplace) if Medicaid isn’t showing up automatically

☎️ If you’re not sure where to call, your local county DSS contact is a good starting point.

📍 3. Contact the Social Security Administration (SSA)

Since SSI eligibility often triggers Medicaid:

• Call SSA at 1-800-772-1213 (TTY: 1-800-325-0778) — Ask them to confirm: - The child’s SSI status - Whether they have transmitted the information to the state Medicaid office - Help interpreting any letters you’ve received from SSA. Social Security

📄 4. Use NY State Health Resources

NY State of Health

• If you can’t find a Medicaid case or want to see coverage options, you can contact NY State of Health: - Phone: 1-855-355-5777 - They can help confirm Medicaid coverage or enroll in Child Health Plus (low-cost insurance) if needed. ACCESS NYC

📍 5. What to Bring/Have Ready When You Contact Agencies

When you talk to SSA or Medicaid/Local DSS about the child’s medical insurance, helpful items to have include:

• Child’s full name and date of birth
• Social Security Number
• SSI award letter or any letters from SSA about benefits
• Any Medicaid ID card you’ve received
• Proof of address
• Contact information for you as the representative

📌 Summary – Step by Step

1. Check the SSI award letter for details.
2. Call SSA (1-800-772-1213) to confirm SSI status and ask about Medicaid transmission.
3. Contact your local Medicaid/Department of Social Services to verify coverage and plans.
4. Call NY State of Health (1-855-355-5777) if Medicaid isn’t showing up or for Child Health Plus info.
5. Keep all SSI and health insurance letters organized for reference.

If you tell me which county in NY the child lives in, I can help you find the exact local Medicaid office contact information.